Organization
RAPHAEL REVELLA LICENSED CLINICAL SOCIAL WORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAPHAEL ANGELA REVELLA LCSW (OWNER/MANAGER)
(518) 630-8351
Entity
Organization
Contact information
Practice address
432 4TH AVE APT 9, TROY, NY 12182-3034
(518) 630-8351
Mailing address
432 4TH AVE APT 9, TROY, NY 12182-3034
(518) 630-8351
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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